Mann / Glass Surgical Treatment of Anal Incontinence

Erscheinungsjahr 2012
ISBN: 978-1-4471-3348-3
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 160 Seiten, eBook

It is only in the last 25 years that the treatment of anal incontinence has become an important surgical discipline. This is not only because our understanding of the disorder has been greatly augmented by new investigative methods. It is also because the hydrocarbon industry has provided us with suitable materials with which to carry out the complex repairs that are now possible. Like most new areas of therapy, initial enthusiasm has been modified by experience. Some techniques have been amended or abandoned. Others have been shown to have very specific indications and to pe unsuitable for general use. But the total of cases treated by surgical means continues to grow, and as the field widens it is apparent that large numbers of people are still suffering from anal incontinence silently and unheard, and have been abandoned to their misery by society at large. For some of these unfortunates, the consequences are appalling: they become outcasts even within their own families; in some communities they are unable to practise their religion. They are truly regarded as "dirty", and are shunned. Because a large body of surgical experience has accrued, nowadays many of these cases can be cured, and most of them substantially alleviated. But a mis-applied or badly performed operation can be a disaster for both the patient and the surgeon.

Zielgruppe

Research

Autoren/Hrsg.

Mann, Charles V.

Glass, Richard E.

Weitere Mitwirkende

Hyams, B.

Lane, R.

Inhaltsverzeichnis

1 Essential Anatomy of Anal Continence.- General Introduction.- Structural Anatomy.- Surgical Anatomy.- 2 Physiology of Anal Continence.- General Introduction.- Applied Physiology.- 3 Abdominal Techniques.- General Introduction.- Abdominal Rectopexy with Prosthetic Implant (Syn. Wells Technique).- Abdominal Rectopexy with Prosthetic Sling (Syn. Ripstein Technique).- Abdominal Rectopexy plus Colon Resection (Syn. Goldberg Technique).- 4 Anterior Perineal Techniques.- General Introduction.- Anterior Plication of Puborectalis and Anal Sphincter (Syn. Anterior Buttress Technique).- Anterior Sling Procedure (Syn. Notaras Technique).- 5 Posterior Perineal Techniques.- General Introduction.- Post-anal Intersphincteric Repair (Syn. Parks Technique).- Post-rectal Buttress Repair (Syn. Wyatt Technique).- 6 Circum-anal Techniques.- General Introduction.- Circum-anal Wire (or Nylon) Encirclement (Syn. Thiersch Procedure).- Circum-anal Cicatrical Fixation (Syn. Saraffof Technique).- Gracilis Muscle Sling Technique (Syn. Pickrell-von Rapport Technique).- 7 Per-anal Techniques.- General Introduction.- Anterior (Rectal) Mucosectomy.- Rectal Wall Plication (Syn. Delorme Technique).- Rectosigmoidectomy (Syn. Ahemeier Technique).- 8 Technique of Anal Sphincter Repair (Syn. Overlap Technique).- Indications and Selection of Patients.- Preparation.- Operative Technique.- Post-operative Management.- 9 Techniques for Congenital Anal Deformity Encountered in Later Life.- General Introduction.- Covered Anus Deformity with Associated Perineal Fistula (“False Anus”).- Anterior Ectopic Deformity.- No Definite Anal or Puborectalis Muscle.- Ectopic Opening Adjacent to an Anal Orifice (“Shot-gun Deformity“).- Summary.- 10 Techniques for Repair of Traumatic Injury of the Anal Sphincters.-General Introduction.- Acute Primary Repair of Traumatised Anal Sphincter and Pelvic Floor.- Trans-vaginal Injury to the Anus and Rectum.- Repair of Acute Trans-vaginal Injury.- Delayed Repair of Chronic Unhealed Recto-vaginal Septal Defect.- 11 Techniques for Repair of Recto-vaginal Fistula.- Low Recto-vaginal Fistula.- High Recto-vaginal Fistula.